Standardized training assessment of residents in obstetrics and gynecology on entrustable professional activities
Abstract Background Entrustable professional activity (EPA) presents trainees’ tasks or responsibilities which are entrusted to the unsupervised execution once they have attained sufficient specific competence. EPAs evaluation emphasize the integrity of medical behavior, directly reflecting the clin...
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BMC
2025-05-01
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| Series: | BMC Medical Education |
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| Online Access: | https://doi.org/10.1186/s12909-025-06973-7 |
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| author | Wenjing Zhang Yiping Hao Teng Zhang Xinlin Jiao Zhonghao Mao Yuankai Zhang Dongxiu Zhao Baoxia Cui |
| author_facet | Wenjing Zhang Yiping Hao Teng Zhang Xinlin Jiao Zhonghao Mao Yuankai Zhang Dongxiu Zhao Baoxia Cui |
| author_sort | Wenjing Zhang |
| collection | DOAJ |
| description | Abstract Background Entrustable professional activity (EPA) presents trainees’ tasks or responsibilities which are entrusted to the unsupervised execution once they have attained sufficient specific competence. EPAs evaluation emphasize the integrity of medical behavior, directly reflecting the clinical ability of trainees and reflect the trust of trainers. Compared with other evalution method, EPAs evaluation is more close to clinical practice and can better reflect clinical competence. Our study conducted a multi-center study in Qilu Hospital of Shandong University to evaluate EPAs among residents. This study was to evaluate EPAs of residents and identify problems in the residency training in Shandong Province, so as to put forward constructive suggestions in futrue. Methods This is a cross-sectional study. An assessment survey comprised of 15 EPAs was invented and carried out in Department of Obstetrics and Gynecology, Qilu hospital of Shandong Province. Each resident conducted self-assessment and director-assessment through by internet questionnaire of Wenjuanxing. Results In our study, 132 residents and 45 directors were totally enrolled. Both self- and director- assessment had an increased scores trend year by year in each EPAs. However, for PGY1 and PGY2 residents, self-assessment and director-assessment results were relatively consistent. Compared with director-assessment, significant difference was found in self-assessment on admit a patient, select and interpret auxiliary examinations, compose medical documents, perform basic operation and perform health education. Among the four different position of residents (social training residents, entrusted training residents, professional master and permanent staff), permanent staff has the highest EPA scores in this EPAs-evaluation study. In this study, we found significant difference between self-assessment and director-assessment in PGY2 and PGY3 (p < 0.05). Conclusions EPAs are practically useful in assessment of OB &GYN residents. EPA4, EPA7, EPA1 and EPA15 need to be improved in future training. Individualized feedbacks should be provided based on the difference between self-assessment and director- assessment. |
| format | Article |
| id | doaj-art-175f7f8b635f4129bfc809ac281ca340 |
| institution | OA Journals |
| issn | 1472-6920 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj-art-175f7f8b635f4129bfc809ac281ca3402025-08-20T02:03:31ZengBMCBMC Medical Education1472-69202025-05-0125111210.1186/s12909-025-06973-7Standardized training assessment of residents in obstetrics and gynecology on entrustable professional activitiesWenjing Zhang0Yiping Hao1Teng Zhang2Xinlin Jiao3Zhonghao Mao4Yuankai Zhang5Dongxiu Zhao6Baoxia Cui7Department of Obstetrics and Gynecology, Qilu Hospital of Shandong UniversityDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong UniversityDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong UniversityDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong UniversityDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong UniversityDepartment of Orthopedics, Qilu Hospital of Shandong UniversityMedical Training Office, Qilu Hospital of Shandong UniversityDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong UniversityAbstract Background Entrustable professional activity (EPA) presents trainees’ tasks or responsibilities which are entrusted to the unsupervised execution once they have attained sufficient specific competence. EPAs evaluation emphasize the integrity of medical behavior, directly reflecting the clinical ability of trainees and reflect the trust of trainers. Compared with other evalution method, EPAs evaluation is more close to clinical practice and can better reflect clinical competence. Our study conducted a multi-center study in Qilu Hospital of Shandong University to evaluate EPAs among residents. This study was to evaluate EPAs of residents and identify problems in the residency training in Shandong Province, so as to put forward constructive suggestions in futrue. Methods This is a cross-sectional study. An assessment survey comprised of 15 EPAs was invented and carried out in Department of Obstetrics and Gynecology, Qilu hospital of Shandong Province. Each resident conducted self-assessment and director-assessment through by internet questionnaire of Wenjuanxing. Results In our study, 132 residents and 45 directors were totally enrolled. Both self- and director- assessment had an increased scores trend year by year in each EPAs. However, for PGY1 and PGY2 residents, self-assessment and director-assessment results were relatively consistent. Compared with director-assessment, significant difference was found in self-assessment on admit a patient, select and interpret auxiliary examinations, compose medical documents, perform basic operation and perform health education. Among the four different position of residents (social training residents, entrusted training residents, professional master and permanent staff), permanent staff has the highest EPA scores in this EPAs-evaluation study. In this study, we found significant difference between self-assessment and director-assessment in PGY2 and PGY3 (p < 0.05). Conclusions EPAs are practically useful in assessment of OB &GYN residents. EPA4, EPA7, EPA1 and EPA15 need to be improved in future training. Individualized feedbacks should be provided based on the difference between self-assessment and director- assessment.https://doi.org/10.1186/s12909-025-06973-7Residency educationFeedbackEPATraining assessment |
| spellingShingle | Wenjing Zhang Yiping Hao Teng Zhang Xinlin Jiao Zhonghao Mao Yuankai Zhang Dongxiu Zhao Baoxia Cui Standardized training assessment of residents in obstetrics and gynecology on entrustable professional activities BMC Medical Education Residency education Feedback EPA Training assessment |
| title | Standardized training assessment of residents in obstetrics and gynecology on entrustable professional activities |
| title_full | Standardized training assessment of residents in obstetrics and gynecology on entrustable professional activities |
| title_fullStr | Standardized training assessment of residents in obstetrics and gynecology on entrustable professional activities |
| title_full_unstemmed | Standardized training assessment of residents in obstetrics and gynecology on entrustable professional activities |
| title_short | Standardized training assessment of residents in obstetrics and gynecology on entrustable professional activities |
| title_sort | standardized training assessment of residents in obstetrics and gynecology on entrustable professional activities |
| topic | Residency education Feedback EPA Training assessment |
| url | https://doi.org/10.1186/s12909-025-06973-7 |
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